Provider Demographics
NPI:1205369311
Name:MCKEE, DANA JEAN (BASW)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:JEAN
Last Name:MCKEE
Suffix:
Gender:F
Credentials:BASW
Other - Prefix:MISS
Other - First Name:DANA
Other - Middle Name:JEAN
Other - Last Name:REMBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COLUMBIA WELLNESS
Mailing Address - Street 2:PO BOX 1847
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632
Mailing Address - Country:US
Mailing Address - Phone:360-353-9369
Mailing Address - Fax:360-577-0187
Practice Address - Street 1:COLUMBIA WELLNESS
Practice Address - Street 2:720 14TH AVE
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632
Practice Address - Country:US
Practice Address - Phone:360-423-0203
Practice Address - Fax:360-577-0187
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60735669101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor